NPIMap

Organization Active NPI

Sooner Medical Management

Doing business as Renaissance Physicians of Midwest City

  • Obstetrics & Gynecology Physician
  • Midwest City, OK
National Provider Identifier
1912187683
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOONER MEDICAL MANAGEMENT
Doing business as
Renaissance Physicians of Midwest City
Practice address
1800 S Douglas Blvd
Midwest City, OK 73130-6224
Phone
(405) 733-4985
Fax
(405) 737-4041
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lori Danker
Title
Director
Phone
(405) 741-0047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1800 S Douglas Blvd
Midwest City, OK 73130-6224

Mailing address

1800 S Douglas Blvd
Midwest City, OK 73130-6224
Phone (405) 733-4985

Other names 1

  • Renaissance Physicians of Midwest City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sooner Medical Management22 organizations share this tax ID, including this one
Part of
Sooner Medical Management

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1912187683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306224",
            "telephone_number": "405-733-4985",
            "fax_number": "405-737-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306224",
            "telephone_number": "405-733-4985",
            "fax_number": "405-737-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONER MEDICAL MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST CITY HMA PHYSICIAN MANAGEMENT, INC.",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DANKER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-741-0047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Physicians of Midwest City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.